This page is part of the CARIN Blue Button Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions
CodeSystem: CARIN-BB-Adjudication-Category
CARIN Blue Button Claim Adjudication Category Code System
This code system http://hl7.org/fhir/us/carin/CodeSystem/carin-bb-adjudicationcategory defines the following codes:
| Code | Display | Definition |
| benefitPaymentStatusCode | Benefit payment status code | Benefit payment status code |
| paymentDenialCode | Payment denial code | Payment Denial Code |
| submittedamount | submitted amount | |
| allowedamount | allowed amount | |
| deductibleamount | deductible amount | |
| coinsuranceamount | coinsurance amount | |
| copayamount | copay amount | |
| noncoveredamount | noncovered amount | |
| cobamount | cob amount | |
| paymentamount | payment amount | |
| patientpayamount | patient pay amount | |
| denialreason | payment denial reason | |
| innetworkbenefitpaymentstatus | in network benefit payment status | |
| outofnetworkbenefitpaymentstatus | out of network benefit payment status | |
| otherbenefitpaymentstatus | other benefit payment status | |
| allowedunits | allowed units | |
